HomeMy WebLinkAboutBuilding Permit 99-0826
City of Prior Lake
Inspection Notice
DATE
TIME
SCHEDULED
10/25/99 A.T.
ADDRESS 17435 SUNSET TRAIL SW
OWNER CONTR
PHONE NO. PERMIT # 99-826
TYPE OF INSPECTION .RE-ROOl?
COMMENTS:
~Work Satisfactory, Proceed
o Correct Action and Proceed
o Correct Work, Call for Reinspection Before Covering
fjJ
Inspector:
Owner/Contr.
DA TI= RI=0fIYEQ
7/2-/11
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No. qq - f32&
- DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUE~ (Please Print or Type and sign at bottom)
3. LEGAL DESCRIPTION
25 BLOCK
tAl ()nD V I F.W
?r,yJ?3~~:/ d:.
/
/:Sr
'77:;/99
,Ie/5D
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
LOT
I
I
/ ~"1J3s ~~t::' N2}'t'7...y'~
(Address). . - (Tel No.) ,l
12. NO. OF STORIES
PID 7~ -1f35 -()25-Q
ADDITION
13. TYPE OF CONSTRUCTION
4'~1hme)
5. ARCHITECT (N~
14. FLOOR AREA APPORTIONMENT USE
~7!0~1~~~~~}:7~;'/
Re-roofin~ Porch a
Re-slding 0 Finish Basement 0
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
7. TYPE OF WORK
Fireplace 0
Alterations 0
Septic 0
Addition 0
Deck D
Finish Attic 0
SEATS
18. PROJECT COSTNALUE
New Construction 0
Chimney a Misc.
8. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS 110. CULVERT SIZE
Sq. Ft. Width Depth Yes No
I hereby certify that I have fumished information on this application which is to the best 01 my knowledge true and correct. I also certify that I am the owner or authorized agent for
the above mentioned property and that II construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
~lding nffZ~::;ermit . cause. E rth~byagree tha~ ~c7rpq93aYenterupo prope ,to ~~ n/edqi;ectionS.
. , ature - - License No.7' fiate - '/
17. COMPLETION DATE
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Front
Back
Side
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA a
PILING LOGS 0 PERCOLATION TESTS 0
BUILDING DEPARTMENT VALUATION
,
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
PLANS & SPECS 0
SURVEY 0
SETS
COPIES
USE OF BUILDING
ee<::; A-'/R_
PLOT PLAN
o
TYPE OF CONSTRUCTION; I II III IV V
Occupancy Group A B E F HIM R
Division 1 2 3 4
S U
City:
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
Permit Fee ................................... $
71./ 75"
Plan Check Fee ......................... .... $
State Surcharge ............................. $
Pena"y ....................................... $
1.25
$
Plumbing Pennit Fee ....................... $
Mechanical Permit Fee .................. ... $
Pressure Reducer .......................... $
Meier Horn ................................... $
WalerMeler ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
Sewer & Water Permit ...................... $
. P.+~?*i~~;:t~lt7hf.ti~v'
I' /',
Certificate of Occupancy
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
Total Du. .............................. $ --; (;. I) 0
Paid 7ft. 00 Receipt No. <! 5"f&>O"1
Data 7/z-/9? By ~
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may pr~s requested. This document when
signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued.
Issued
City Planner
Date
Special Conditions if any
24 hour notice for all inspections 447-9850